Individual
KASIA BOSEK FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 COLONIAL RD STE 201, MEMPHIS, TN 38117-4097
(901) 930-7397
(901) 244-6528
Mailing address
4646 POPLAR AVE STE 302, MEMPHIS, TN 38117-4433
(901) 930-7397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000001617
TN
Other
Enumeration date
10/17/2019
Last updated
09/04/2020
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